Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. SUSAN B BOUTILIER M.D.
NPI 1558368936
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Greenville, NC

Q: What is Susan Boutilier's NPI number?

The NPI number for Susan Boutilier is 1558368936. It was assigned to this individual provider in the NPPES registry on June 30, 2005.

Q: What is Susan Boutilier's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.

Q: When was this NPI record last updated?

The NPPES record for Susan Boutilier was last updated on July 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 44 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 30, 2005PECOS EnrolledAccepts Medicare Assignment

98.33/100

CMS Quality Rating

2280 HEMBY LN, GREENVILLE, NC 27834(252) 744-9400(252) 744-9401 Get Directions Write a Review

NPPES record last updated: July 10, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 10, 2026, Dec 3, 2020, Aug 17, 2016 (3 updates tracked since 2016).

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About Dr. Susan B Boutilier M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SUSAN B BOUTILIER M.D. (NPI 1558368936) is an individual neurology with special qualifications in child neurology provider in Greenville, North Carolina, licensed in North Carolina (9701256) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS and is a graduate of University Of California, Davis School Of Medicine (1993).

NPPES Registry Identity

NPI1558368936

Entity TypeIndividualFemale

Primary Taxonomy2084N0402X

Provider Legal NameDR. SUSAN B BOUTILIERCredential: M.D.

Location Address2280 HEMBY LNGreenville, NC 27834-3773

Mailing AddressPo Box 751069Charlotte, NC 28275-1069

Phone(252) 744-9400

Fax(252) 744-9401

Sole ProprietorNo

Medical School CMSUniversity Of California, Davis School Of MedicineGraduated 1993

Enumeration DateJune 30, 2005

Last NPPES UpdateJuly 10, 20263 updates tracked since enumeration

NPPES CertifiedJuly 10, 2026

✔ NPI 1558368936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0402X

License✔ Licensed in NC · 9701256

Definition

A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.

2280 HEMBY LN, Greenville, NC 27834

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Other Identifiers 3

Other1122NNC · Bcbsnc

Other370011207NC · Railroad Medicare

Medicaid1558368936NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Susan B Boutilier M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3274637269

PECOS Enrollment IDI20081122000108

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27834 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$125.01 typical visit price

range $54.12 – $165.09

Typical copayment $31.25 (range $13.53 – $41.27)

Most-billed visit code 99204

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.33/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

82.93

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WALTER ROGER NELSON F.N.P.

Nurse Practitioner (Family)